MOUNTLAKE SPORTS & PHYSICAL THERAPY PS
MOUNTLAKE SPORTS & PHYSICAL THERAPY PS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1528331402, based in Everett, WA. The organization lists 2 taxonomy classifications, with Physical Therapist recorded as primary.
Getting there
The practice address on file is 9505 19TH AVE SE 101, Everett, WA 98208. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PT60178380 | WA | Physical Therapist |
| MA00018299 | WA | Massage Therapist |
| MA00015079 | WA | Massage Therapist |
| PT00003917 | WA | Physical Therapist primary |
This provider holds licence PT60178380 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Physical/occupational Therapy Group In Private Practice
- PAC ID
- 0840645230
- Enrollment ID
- O20231004001992
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Physical/occupational Therapy Group In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Physical Therapist covers
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. NUCC Health Care Provider Taxonomy, code 225100000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT60178380 | WA | |
| 225700000X | Massage Therapist | MA00018299 | WA | |
| 225700000X | Massage Therapist | MA00015079 | WA | |
| 225100000X | Physical Therapist | PT00003917 | WA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1528331402 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 22, 2012 |
| Last updated | Feb 22, 2012 |
| Status | Active |
| Practice address |
9505 19TH AVE SE 101 Everett, WA 98208 (425) 379-8120 Fax (425) 338-1789 |
| Other identifiers |
0151396
· Other (WA) 7084650 · Medicaid (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 3 | 3 | 1 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 6 | 3 | 2 | 4 | 0 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.